Cerebellum/Basal Ganglia Flashcards
1
Q
Cerebellum
A
- plans for coordinated movements, adjusts movements, and non-motor functions
- it does not have direct connection to motor neurons
- after cerebellar damage there is NO muscle paralysis or sensory deficits
- Feedback mechanism: receives info from ongoing movements and makes adjustments (adjustor of movements)
- Feedforward mechanism: predicts consequences of motor commands from past experience (comparer of movements) and depending on match/mismatch re-calibrates for future purposes (calibrator of movements)
2
Q
Flow of information into cerebellum
A
- receives info from motor planning & execution areas from cerebral cortex
- receives sensory feedback info from somatosensory, vestibular, visual, & auditory receptors
3
Q
Parts of the cerebellum
A
- Flocculonodular lobe (bottom portion near pons) = vestibulocerebellum
- Vermis and Paravermis (top portion near pons) = Spinocerebellum
- Lateral hemisphere (large portion forming point away from pons) = Cerebrocerebellum
4
Q
Flow of information through the circuitry inside the cerebellum
A
- all inputs to cerebellum via climbing & mossy fibers
- climbing fibers go to 3 deep cerebellar nuclei & purkinji fibers
- mossy fibers go to granule cells & purkinji cells via parallel fibers
- all output via purkinji cells back to cerebellar nuclei
- out of cerebellum to cerebral cortex/brainstem nuclei
5
Q
Vestibulocerebellum
A
- receives inputs from vestibular system
- outputs back to vestibular nuclei
- efferents from vestibular nuclei regulate VOR centrally to control eye movements & to control neck/trunk axial muscles to influence postural control
- maintaining VOR and balance are the main functions
6
Q
Spinocerebellum
A
- helps execute coordinated movements using both feedforward and feedback mechanisms
- inputs from spinal cord via 4 spinocerebellar pathways
- receives sensory inputs from visual, auditory, & vestibular systems
- outputs adjust motor activity by influencing medial tracts (posture/tone) and lateral tracts (fine movements) by sending projections from fastigial and IP nuclei to brainstem nuclei & by influencing cerebral cortex via thalamus indirectly
7
Q
Cerebrocerebellum
A
- involved in planning for coordinated movements
- uses feedforward mechanism
- connections form a loop between the lateral cerebellar hemisphere & cerebral cortex: cerebro-cerebello-cerebral loop
- receives direct inputs from pontine nuclei & gives off direct outputs to thalamus
- involved with motor & cognitive learning
8
Q
Signs of cerebellar dysfunction
A
- problems with eye movements: nystagmus
- Disequilibrium: loss of balance
- Uncoordinated movements: dysmetria (over/under shooting a movement), ataxia, dyssynergia (inability/desynchronization of movements)
- unilateral cerebellar lesions cause impairments on the same side of body: spinocerebellar afferents are ipsilateral & cerebellar efferents project to contralateral cerebral cortex
9
Q
Lesions in vestibulocerebellum
A
- nystagmus
- difficulty maintaining sitting/standing balance (truncal ataxia)
10
Q
Lesions in spiinocerebellum
A
- limb incoordination (DDK, dysmetria)
- ataxic gait (wide based unsteady gait)
- action/intension tremor
- dysarthria
11
Q
Lesions in cerebrocerebellum
A
- difficulty in planning complex movements (mostly fine motor)
- difficulty with motor areas for playing instruments, fasten buttons, typing on keyboard
- disruption of timing of joint movements (decomposition of movements - dyssnergia)
12
Q
Parts of the basal ganglia
A
- 5 nuclei: Caudate, Putamen, Globus Pallidus, Subthalamic nucleus, Substantia nugra
- Striatum = Caudate and Putamen
- C-shaped Caudate wraps around the Thalamus
- Lentiform Nucleus = Putamen and Globus Pallidus
- Substantia nigra = compacta & reticularis
- Globus Pallidus = externus and internus
13
Q
Basal ganglia functions
A
- plans & executes coordinated motor activity but does NOT have direct connections to motor neurons
- involved in movement control for goal-directed behavior & helps in judging/decision making by taking into account socially appropriate/inappropriate situations & emotions
-for influencing motor control the basal ganglia regulates the level of inhibition in various motor pathways
14
Q
Basal agnails circuitry
A
- inputs enter caudate/putamen from cerebral cortex
- outputs exit through Globus Pallidus internus/Substantia nigra to the thalamus
- Loops: goal-directed behavior loop, social behavior loop, emotion loop, oculomotor loop, and motor loop
15
Q
Goal-directed behavior loop
A
- example: deciding whether to run a yellow light when running late to work
- lesion in bilateral caudate = inattention, distractibility, poor concentration, NO movement disorders